Dr Tiffany Denise Jackson, MD - Medicare Emergency Medicine in Rock Hill, SC

Dr Tiffany Denise Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Rock Hill, South Carolina. She went to Mercer University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc, The Carolinas Emergency Group, Pllc, Mid-atlantic Emergency Medical Associates Pllc, Wake Forest Emergency Providers and her current practice location is 222 S Herlong Ave, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 325-6301.

Dr Tiffany Denise Jackson is licensed to practice in North Carolina (license number 2018-00161) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053556399.

Contact Information

Dr Tiffany Denise Jackson, MD
222 S Herlong Ave,
Rock Hill, SC 29732-1158
(803) 325-6301
Not Available



Physician's Profile

Full NameDr Tiffany Denise Jackson
GenderFemale
SpecialityEmergency Medicine
Experience10 Years
Location222 S Herlong Ave, Rock Hill, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tiffany Denise Jackson attended and graduated from Mercer University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1053556399
  • Provider Enumeration Date: 12/15/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608161427
  • Enrollment ID: I20170925003048

Medical Identifiers

Medical identifiers for Dr Tiffany Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053556399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2018-00161 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Medical CenterRock hill, SCHospital
Novant Health Mint Hill Medical CenterCharlotte, NCHospital
Atrium Health University CityCharlotte, NCHospital
Atrium Health AnsonWadesboro, NCHospital
Carolinas Medical Center-northeastConcord, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714323
The Carolinas Emergency Group, Pllc256748681473
Mid-atlantic Emergency Medical Associates Pllc488068682374
Wake Forest Emergency Providers7012819816218

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tiffany Denise Jackson allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Denise Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tiffany Denise Jackson, MD
400 Gilead Rd Ste 651,
Huntersville, NC 28078-6899

Ph: (704) 781-8170
Dr Tiffany Denise Jackson, MD
222 S Herlong Ave,
Rock Hill, SC 29732-1158

Ph: (803) 325-6301

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› Verified 6 days ago


Emergency Medicine Doctors in Rock Hill, SC

Stephen Barr, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732
Phone: 803-329-6849    
Amir Reza Hashemi, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732
Phone: 803-329-1234    
Dr. Edwin Iyere Ozua, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732
Phone: 803-324-1950    Fax: 803-324-1933
Dr. Charlton Scott Mcnair, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1393 Celanese Rd, Rock Hill, SC 29732
Phone: 803-329-3103    Fax: 803-325-2232
John Lee, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732
Phone: 803-329-6849    
Andrew Joseph Ohar, D.O., D.P.T
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732
Phone: 803-329-1234    

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